2024-2025 ComSoc Distinguished Lecturer Nomination Form

2024-2025 ComSoc Distinguished Lecturer Nomination Form

Today's Date

Who are you nominating?

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Candidate's Information

Candidate's First Name*

Candidate's Last Name*

Candidate's Business Title*

Candidate's Affiliation/Organization*

Candidate's Department/Unit*

Candidate's Street Address*

Candidate's City/Town*

Candidate's State/Province*

Candidate's Country*

Candidate's IEEE Region*

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Candidate's Web Address*

Candidate's Phone Number*

Candidate's Gender*

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Candidate's email*

Candidate's Qualifications

Candidate's IEEE Member Number*

Candidate's Member Grade*

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Is the candidate a ComSoc Member?*

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Candidate's Professional Sector*

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Candidate's Leadership Positions Held*

Candidate's Awards and Recognitions*

Please list candidate's invited presentations, tutorials, keynotes, etc.*

Subjects/topics of possible DL talks*

Is the person a previous Distinguished Lecturer?*

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Please detail the previous organizations and years this person served as a Distinguished Lecturer.*

Please detail the candidate's previous DL tours.*

Please upload the candidate's Curriculum Vitae and a video of the candidate presenting on a topic.*

You must submit both a CV and a video. If you are not uploading a video, but have a URL link (ex: to a Youtube video of the person presenting) please use the next question to submit the link. Total file size submission limit is 30MB.

Please name your files with with the following format:

LASTNAME_FIRSTNAME_ComSoc_DL_Video

LASTNAME_FIRSTNAME_ComSoc_DL_CV

Drag and drop files here or

Link to candidate presenting on their topic.*

Nominator's Information

Nominator's First Name*

Nominator's Last Name*

Nominator's Affilation/Organization*

Nominator's Department/Unit*

Nominator's Street Address*

Nominator's City/Town*

Nominator's State/Province*

Nominator's Country*

Nominator's email address*

Nominator's web address*

Nominator's telephone*

Nominator's IEEE Member Number*

Nominator's IEEE Member Grade*

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Is the nominator a ComSoc member?*

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Technical Committee Represented by Nominator*

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Nominator's Position on Technical Committee*

Association between Nominator and Candidate*

Nominator's IEEE Region*

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Acknowledgement of IEEE Privacy Policy

I have read and agree to the IEEE Privacy Policy.*

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